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Table 1 PReCaP: intervention fidelity and moderating factors

From: The Prevention and Reactivation Care Program: intervention fidelity matters

 

Adherence extent

PReCaP Core Staff

Moderating factor

Day 1

   

1. Identification of patient at risk within 48 hours after admission

Always

Research nurse

Recruitment

 

(Performed in time-often)

 

Context

 

(Performed later-sometimes)

  

2. Assessment of risk factors for functional decline

Always

Research nurse

 
 

(Performed in time-sometimes)

  
 

(Performed later-sometimes)

  

3. Consultation with patient and relatives to discuss vulnerability and risk factors

Often

Casemanager or geriatric nurse

Participant responsiveness

Day 2

   

4. Patient discussed in biweekly Multidisciplinary Team Meeting (MTM)

Always

Geriatrician

Context

  

Geriatric nurse

 
  

Nurse practitioner

 
  

Social worker

 
  

Transfer nurse

 
  

Casemanager

 

Design GAS care plan including advice for additional treatment aimed at functional preservation

Always

Geriatrician

Facilitation strategies

  

Geriatric nurse

 
  

Nurse practitioner

 
  

Social worker

 
  

Transfer nurse

 
  

Casemanager

 

Day 3 – 5

   

5. Consultation following MTM

Often

Casemanager

 
  

Geriatric nurse

 
  

Transfer nurse

 
  

Geriatrician

 

6. Consultation with patient and relatives to discuss vulnerability and risk factors

Seldom

Casemanager and/or geriatric nurse

Comprehensiveness of policy description

7. Interdisciplinary consultation following MTM

Often

  

Psychiatrist, psychiatrist, occupational therapist, dietician

   

Day 6 – 7

   

8. Support and provide treatment to informal caregiver (conditional)

Never

Social worker

Participant responsiveness

  

Psychologist

 

9. Medication use review by pharmacist

Never

 

Context

10. Treatment by PReCaP Recovery Team (conditional)

   

Casemanager

Sometimes

  

Art therapist

Seldom

  

Day 8

   

11. MTM - Review prognosis and discharge destination (in some cases register patient at hospital replacement care facility)

Sometimes

Geriatrician

 
  

Geriatric nurse

 
  

Nurse practitioner

 
  

Social worker

 
  

Transfer nurse

 
  

Casemanager

 

12. Weekly telephone consultation informal caregiver

Always

Casemanager

 

13. Consultation with patient and relatives to discuss vulnerability and risk factors

Seldom

Casemanager and/or geriatric nurse

Comprehensiveness of policy description

14. Hand out flyer ‘PReCaP Recovery Team’ to patient

Always

Casemanager

Participant responsiveness

Day 9

   

15. Execution PReCaP care plan

   

Physiotherapist, dietician, occupational therapist

Sometimes

  

Before day 12

   

16. Exit interview with patient and informal caregiver

Sometimes

Casemanager or transfer nurse

Context

17. Send flyer ‘Prevention and Reactivation Centre’ to informal care giver’s home address (if transfer to PRC) (conditional)

Always

Casemanager

Participant responsiveness

18. Handover GAS care plan to physician hospital replacement care facility

Sometimes

Casemanager or geriatrician

 
  1. Never = 0%; Seldom = 1-33%; Sometimes = 34-66%; Often = 67-99%; Always = 100%.